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General NPI Number Information
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NPI Number | 1003700139
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Entity Type | Individual
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Provider Name | MARISSA EDEN MERINO MFT, LIFE COACH
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Gender | Female
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 691 US HIGHWAY 130 STE 5
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City | ROBBINSVILLE
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State | NJ
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Zip | 08691-2207
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Country | US
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Telephone | 609-806-5083
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Fax |
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Provider Business Mailing Address
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Address Line | 1207 KLOCKNER RD APT 46
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City | HAMILTON
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State | NJ
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Zip | 08619-3620
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Country | US
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Telephone | 609-649-0844
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 37AC00872100
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License Number State | NJ
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